Climate variability and change as well as sea level rise poses significant challenges to livelihoods, water and food security in small island developing states (SIDSs) including the Zanzibar Islands. Thus, without planned strategic adaptation, the future projected changes in climate and sea level will intensify the vulnerability of these sensitive areas. This thesis is based on research conducted in two sites located in the north eastern parts of each island, namely Kiuyu Mbuyuni, Pemba Island and Matemwe, Unguja Island. The research focused firstly on assessing the vulnerability of these two coastal communities to climate variability and change and other stressors. This included investigation of (1) the perceptions of fishers, farmers and seaweed farmers regarding climate stressors and shocks and associated risks and impacts, (2) existing and possible future water and food security issues, and (3) household's access to important livelihood assets. This was followed by an exploration of the coping and adaptive responses of farmers, fishers and seaweed farmers to perceived shocks and stresses and some of the barriers to these responses. Lastly, an analysis of the implications of the findings for achieving sustainable coastal livelihoods and a resilient coastal community was undertaken. The general picture that emerges is that local people along the east coasts of both islands are already vulnerable to a wide range of stressors. Although variability in rainfall is not a new phenomenon in these areas, increasing frequency of dry spells and coastal floods resulting from the influence of El Niño and La Niña events exert enormous pressures on local activities (fishing, farming and seaweed farming) which are the crux of the local economy. The main argument of the study is that the nature and characteristics of these activities are the main source of sensitivity amongst these communities and this creates high levels of vulnerability to climate shocks and trends. This vulnerability is evidenced by the reoccurrence of localised food shortages and the observed food and water insecurity. The study found that food insecurity is a result of unreliable rainfall, drought and seasonality changes. These interacted with other contextual factors such as poor soil, low purchasing power and the lack of livelihood diversification options. In addition to exposure to these almost unavoidable risks from climate variability, the vulnerability of the local communities along the east coasts is also influenced by the low level of capital stocks and limited access to the assets that are important for coping and adaptation. Despite this, some households managed to overcome barriers and adapt in various ways both within the three main livelihood sectors (fishing, farming and seaweed farming) as well as through adopting options outside these sectors resulting in diversification of the livelihood portfolio. However, the study found that most of the strategies opted for by fishers, farmers and seaweed farmers were mainly spontaneous. Few planned adaptation measures supported by state authorities were observed across the sites, with the exception of the provision of motorised boats which were specifically meant to increase physical assets amongst fishers, reduce pressure in the marine conservation areas and prevent overfishing in-shore. Furthermore, numerous strategies that people adopted were discontinued when further barriers were encountered. Interestingly, some of the barriers that prevented households adapting were the same ones that forced households that had responded to abandon their adaptations. To increase resilience amongst east coast communities to current and future predicted changes in climate and sea level, the study argues that traditional livelihood activities (fishing, farming and seaweed farming) need to be better supported, and access to a range of livelihood assets improved. This may be achieved through increased access to local sources of water and facilitation of rainwater harvesting, expanding the livelihood options available to people and increasing climate change awareness, and access to sources of credit.